Individual
MRS. KATHLEEN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
MAIL STOP 8045, POCATELLO, ID 83209-8045
(208) 282-4095
Mailing address
248 S 12TH AVE, POCATELLO, ID 83201-4815
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-644
ID
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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